Sexual Aesthetics (Penis Curvature) - Assoc. Prof. Dr. Akif Diri

What Causes Penis Curvature?

Penis curvature is predominantly a congenital condition. However, it can sometimes develop due to various ailments, unsuccessful surgical applications or traumatic situations. If the condition is congenital, patients usually do not feel complaints such as pain. In the medical literature, penile curvatures are considered in two different categories: congenital and developing:

Congenital Curvature of the Penis: In the penis; There is 1 spongy structure in which the urinary tract is located and 2 spongy structures rich in blood vessels that provide erection. During the development of a man in the womb, a developmental disorder may occur in one of these two structures. In such a situation, the penis may curve towards the side where the development is less during erection.
Another cause of congenital penile curvature is hypospadias. Hypospadias is popularly known as the sunnah of the prophet. In this disease, the urinary hole is located below the point where it should be. With this disease, it is possible for the penis to bend in that direction because of less spongy tissue development or because of adhesions in the connective tissues of the penis.

Advanced Penile Curvature: Subsequent penile curvature is usually due to Peyronie’s disease and is a calcification problem. Calcification occurs between the spongy structure in the blood vessel that provides the hardening of the penis and the outer sheath that provides the erection. This disorder, which usually occurs in advanced ages, manifests itself with pain, and deformity occurs later. In some patients, serious deformities, shrinkage of the penis, deformities and erectile dysfunction can be seen.

Penile Curvature Treatment

Treatment of penile curvature is also done according to the cause of the curvature and the severity of the curvature. If the curvature of the penis is caused by the sunnah of the prophet, the only way to solve the problem is surgery. During this surgical procedure, the urinary hole is moved to where it should be, and if the curvature has developed, this situation is corrected.

PDE-5 inhibitors can be used with drug treatments in the acute phase of penile curvature (Peyronie’s) disease that develops later. Shock wave therapy can be applied in this phase.

In patients who have passed the active phase, whose disease has not progressed for at least 3 months, and whose penile deformity has not progressed, different treatments can be applied to the penile curvature, depending on the deformity and accompanying erection problem.

Curvature is corrected with surgery in patients with severe deformity and no loss of erection. Penile prosthesis is placed in the same session for those with concomitant erectile dysfunction.

In patients with congenital penile curvature, who have psychological and sexual problems due to penile curvature, who feel pain during sexual intercourse, medication or other treatment methods do not yield results. The only solution is surgery, that is, the surgical method.

The main purpose of this operation, which is performed under general anesthesia and called “Penile plication surgery”, is to correct the curvature of the tubes that provide erection and keep the penis straight. During this correction process, the sheath surrounding the tubes is stripped, and a corrective, permanent suture is applied in the opposite direction of the part of the tube wall where the curvature is highest.

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